Registered Nurse
Company: Fresenius Medical Care
Location: Albemarle
Posted on: April 16, 2024
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Job Description:
POSITION FEATURES:PART- TIME PositionPURPOSE AND SCOPE:Functions
as part of the hemodialysis health care team as a Staff Registered
Nurse to ensure provision of quality patient care on a daily basis
in accordance with FMS policies, procedures, and training. Supports
the FMCNA's mission, vision, values, and customer service
philosophy. Supports the FMCNA commitment to the Quality
Enhancement Program (QEP) and CQI Activities, - including those
related to patient satisfaction and actively participates in
process improvement activities that enhance the likelihood that
patients will achieve the FMCNA Quality Enhancement Goals (QEP).
Adheres to all requirements of the FMCNA Compliance Program, and
FMS patient care and administrative policies.PRINCIPAL DUTIES AND
RESPONSIBILITIES:Directs Patient Care Technician's provision of
safe and effective delivery of chronic hemodialysis therapy to
patients in compliance with standards outlined in the facility
policy procedure manuals, as well as regulations set forth by the
corporation, state, and federal agencies.Delegates tasks to all
direct patient care staff including but not limited to LVN/LPNs,
Patient Care Technicians, and Dialysis Assistants.Assesses daily
patient care needs and develops appropriate patient care
assignments.Routinely monitors patient care staff for appropriate
techniques and adherence to facility policy and
procedures.Participates in staff training and orientation of new
staff as assignedParticipates in all required staff meetings as
scheduled.Ensures educational needs of patients and family are met
regarding End Stage Renal Disease (ESRD).Provides ongoing education
to patients regarding their renal disease, vascular access and
dialysis therapy, and other related health conditions.Discusses
with patient, and records education related to diet/fluid and
medication compliance.Provides patient specific detailed education
regarding adequacy measures where applicable - Online Clearance
Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic
Modeling (UKM).Ensures transplant awareness, modality awareness,
and drive catheter reduction.Educates patients regarding laboratory
values and the relationship to adequate dialysis therapy,
compliance with treatment schedule, medications, and fluid.Provides
safe and effective delivery of care to patients with
ESRD.Accurately implements treatment prescriptions including Sodium
(Na) modeling prescription, and Ultrafiltration modeling (where
appropriate) to ensure stable treatment therapy as
indicated.Assesses patients' response to hemodialysis treatment
therapy, making appropriate adjustments and modifications to the
treatment plan as indicated by the prescribing physician.
Communicates problems or concerns to the Team Leader or
physician.Identifies and communicates patient related issues to
Team Leader or physician.Initiates Initial and Annual Nursing
Assessment, and ongoing evaluation and documentation of patient
care needs according to FMC Policies and Procedures.Actively
participates in the pre-evaluation, initiation, monitoring,
termination, access homeostasis, and post evaluation of patients
receiving hemodialysis treatment therapy according to established
FMC procedures.Takes appropriate intervention for changes in
patient adequacy status and troubleshooting access flow issues as
identified by OLC/AMP yellow lights.Provides, supervises (if
applicable), and monitors hemodialysis access care according to
established procedures.Implements, administers, monitors, and
documents patient's response to prescribed interdialytic
transfusions, including appropriate notification of adverse
reactions to physician and appropriate blood supplier.Ensures
accurate and complete documentation by Patient Care Technician on
the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters
physician lab orders accurately into the Medical Information
System.Ensures appropriate preparation of lab requisitions for
Spectra or alternate lab.Ensures correct labs tubes are utilized
for prescribed lab specimens and that lab draw and processing
procedures are performed appropriately for all lab
samples.Identifies and ensures appropriate follow-through regarding
missed labs and specimens reported to be insufficient according to
company policies and procedures.Ensures all specimens are
appropriately packaged according to Department of Transportation
(DOT) policies and procedures relating to shipment of blood or body
fluid specimens and potentially hazardous material.Ensures that all
labs are directed and delivered to appropriate labs.Reports
alert/panic and abnormal labs results to appropriate
physician.Ensures lab results are forwarded to physicians as
requested. Enforces all company approved policies and procedures,
as well as regulations set forth by state and federal agencies and
departments.Maintains overall shift operation in a safe, efficient,
and effective manner.Act as a resource for other staff
members.Routinely meets with the Clinical Manager to discuss
personnel and patient care status, issues, and
information.Collaborate and communicate with physicians and other
members of the healthcare team to interpret, adjust, and coordinate
care provided to the patient.Provides assistance as needed to
patients regarding prescription refills according to FMCNA
Policies.Ensures all physician orders are transcribed and entered
into the Medical Information system in a timely manner.Oversees all
documentation of patient information.Maintains facility drug list
for all required stock medications.Maintains competency with all
emergency operational procedures, and initiates CPR and emergency
measures in the event of a cardiac and/or respiratory
arrest.Ensures verification and availability of adequate emergency
equipment.Ensures provision of appropriate vaccinations,
immunizations, and annual Tuberculosis (TB) testing.Administers
medications as prescribed or in accordance with approved
algorithm(s), and documents appropriate medical justification if
indicated.Administers PRN medications as prescribed and completes
appropriate documentation of assessment of effectiveness.Maintains
appropriate recording of controlled substances as required by
law.Assists with the coordination of patient transportation if
necessary.Ensures a clean, safe, and sanitary environment in the
dialysis facility treatment area.Ensures competency in the
operation of all dialysis-related equipment safely and
effectively.Ensures all patient stations, including machines and
chairs, are clean and free of blood and placed
appropriately.Ensures that all blood spills are immediately
addressed according to FMCNA Bloodborne Pathogen Control
Policies.Ensures all relevant data including physician orders, lab
results, vital signs and treatment parameters, and patient status
are documented appropriately and entered into Medical Information
System.Ensures all appropriate patient related treatment data is
entered into the Medical Information System.Ensures all FMCNA
policies regarding patient admission, transfer, and discharge are
appropriately implemented.Ensures and verify accuracy of Patient
Care Technician documentation. Reviews and ensures appropriate
daily completion of Hemodialysis Treatment Sheets by all patient
care staff.Ensures that all appropriate procedures are followed
regarding opening and closing procedures, inclusive of monitoring
that all staff and patients have safely left the
premises.Initiates, documents, and completes ongoing Continuous
Quality Improvement (CQI) activities including monthly
reports.Completes monthly nurses' progress note.Ensures patient
medical records are complete with appropriate information,
documentation, and identification on each page (Addressograph label
is on all chart forms).Reviews transplant status and follows
established procedure regarding appropriate action to be
taken.Completes patient care plans for new patients within the
initial 30 days or any patients deemed unstable requiring monthly
patient care plans.Completes any long-term programs that are due.
Completes initial and annual Nursing History and Assessment
physical.Ensures completion of Annual Standing Order Review with
each physician as required.Performs additional duties as
assigned.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical
demands and work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.The position provides direct patient care that
regularly involves heavy lifting and moving of patients, and
assisting with ambulation. Equipment aids and/or coworkers may
provide assistance. This position requires frequent, prolonged
periods of standing and the employee must be able to bend over. The
employee may occasionally be required to move, with assistance,
machines and equipment of up to 200 lbs., and may lift chemical and
water solutions of up to 30 lbs. up as high as 5 feet.The work
environment is characteristic of a health care facility with air
temperature control and moderate noise levels. May be exposed to
infectious and contagious diseases/materials.Employees are required
to take the Ishihara's Color Blindness test as a condition of
employment. Note that: Failing theIshihara Test for Color Blindness
does not preclude employment. The Company will consider whether
reasonable accommodation can be made.SUPERVISION: NoneEDUCATION AND
REQUIRED CREDENTIALS:Graduate of an accredited School of
Nursing.Current appropriate state licensure.Must meet the practice
requirements in the state in which he or she is employed.EXPERIENCE
AND SKILLS:Minimum of one-year medical-surgical nursing experience
preferred.Hemodialysis experience preferred.ICU experience
preferred.Successfully complete a training course in the theory and
practice of hemodialysis.Successfully complete CPR
Certification.Employees have to meet the necessary requirements of
Ishihara's Color Blindness test as a condition of
employment.Provide coverage at any or all area facilities as
required by management.Icd-9 coding Training.Nurses Technical
Training.Must meet appropriate state requirements (if any).EO/AA
Employer: Minorities/Females/Veterans/Disability/Sexual
Orientation/Gender Identity Fresenius Medical Care North America
maintains a drug-free workplace in accordance with applicable
federal and state laws.
Keywords: Fresenius Medical Care, Kannapolis , Registered Nurse, Healthcare , Albemarle, North Carolina
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